MEDICARE: DR JOHN T PATENAUDE & DR DAVID P PICCHIETTI SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04982014	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1205963659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR JOHN T PATENAUDE & DR DAVID P PICCHIETTI SC

Provider Business Mailing Address
First Line	:	11316 W WADSWORTH ROAD
Second Line	:
City	:	BEACH PARK
State	:	IL
Zip	:	60099-3367
Country	:	US
Telephone Number	:	847-872-3456
Fax Number	:	847-872-3557

Provider Business Practice Location Address
First Line	:	11316 W WADSWORTH ROAD
Second Line	:
City	:	BEACH PARK
State	:	IL
Zip	:	60099-3367
Country	:	US
Telephone Number	:	847-872-3456
Fax Number	:	847-872-3557

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID P PICCHIETTI
Credential	:	DC
Telephone Number	:	847-872-3456

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1043209257 — TAYSEER A IBRAHIM DDS PC
Practice Location Address:

11316 W WADSWORTH RD STE 101
BEACH PARK, IL
60099-3367

Practice Phone: 847-872-5530
Practice Fax: 847-872-1683

1336163484 — TAYSEER AHMED IBRAHIM
Practice Location Address:

11316 W WADSWORTH RD
BEACH PARK, IL
60099-3367

Practice Phone: 847-872-5530
Practice Fax: 847-872-1683

1336202589 — DR. DAVID P PICCHIETTI DC
Practice Location Address:

11316 W WADSWORTH ROAD
BEACH PARK, IL
60099-3367

Practice Phone: 847-872-3456
Practice Fax: 847-872-3557

1235356635 — TAYSEER A IBRAHIM DDS PC
Practice Location Address:

11316 W WADSWORTH RD
BEACH PARK, IL
60099-3367

Practice Phone: 847-872-5530
Practice Fax: 847-872-1683

1285018846 — MAVES MEDICAL LTD
Practice Location Address:

11316 W WADSWORTH RD
BEACH PARK, IL
60099-3367

Practice Phone: 847-731-9663
Practice Fax: 847-731-9664

1811777683 — ELIDA GRICELDA TREJO FNP-BC
Practice Location Address:

11316 W WADSWORTH RD STE 103
BEACH PARK, IL
60099-3367

Practice Phone: 708-404-9070
Practice Fax: 708-273-5565

Directions to “DR JOHN T PATENAUDE & DR DAVID P PICCHIETTI SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.